• Claim Adjudication and Decision-Making: Render timely and accurate decisions on new and ongoing STD and AM claims • Proactively gather and analyze relevant clinical, vocational, employer, financial, medical, and other necessary information • Compare collected data against contract terms, limitations, conditions, and procedural documents to render claims decisions efficiently • Maintain the confidence to make claim decisions independently • Case Management and Compliance: Document the claims system comprehensively and accurately • Develop, update, and utilize a claims management plan to achieve the most appropriate outcomes • Ensure full compliance with regulatory requirements and operational standards • Meet or exceed all established claims team operational metrics • Customer and Partner Engagement: Maintain a superior level of genuine caring and empathetic customer service in all interactions • Act appropriately to earn the trust and confidence of claimants and employers, anticipating their needs • Collaborate effectively with internal partners, maintaining professionalism, integrity, and fostering high morale